1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Counselor
  6. NPI Profile

LUIS MEDINA SUDPT
NPI 1326748088
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since March 09, 2023
2156 PACIFIC AVE, TACOMA, WA 98402(253) 200-0505 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Luis Medina Sudpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS MEDINA SUDPT (NPI 1326748088) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (61033705) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1326748088
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLUIS MEDINACredential: SUDPT
Location Address2156 PACIFIC AVETacoma, WA 98402-3004
Mailing Address2156 Pacific AveTacoma, WA 98402-3004 · (253) 200-0505
Phone(253) 200-0505
Sole ProprietorYes
Enumeration DateMarch 9, 2023
NPPES CertifiedJanuary 20, 2022
✔ NPI 1326748088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 61033705
2156 PACIFIC AVE, Tacoma, WA 98402
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERISSA PATRICE MAYERS MEDICAL ASSISTANT
Local Education Agency (LEA)
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 207-4000
BAYVIEW RECOVERY LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
ANGELA FRYE LMHC, CDP
Counselor (Mental Health)
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
STEPHANIE H MICHELSON SUDPT
Counselor (Addiction (Substance Use Disorder))
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
ANDREYA FOUNTAIN SUDPT
Counselor (Addiction (Substance Use Disorder))
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
MURTATHA ALBERMANY SUDPT
Counselor (Addiction (Substance Use Disorder))
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
DUANE E SERRANO CO61200074
Counselor (Addiction (Substance Use Disorder))
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
JORDYN LUMBY CPC
Peer Specialist
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 785-9218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Medina's NPI number?

The NPI number for Luis Medina is 1326748088. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is Luis Medina located?

Luis Medina practices at 2156 Pacific Ave, Tacoma, WA 98402. The listed phone number is (253) 200-0505.

What is Luis Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Luis Medina was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.